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The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Author

Listed:
  • Xiaohu Jin

    (Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China)

  • Lin Wang

    (Department of Physical Education, Wuhan University of Technology, Wuhan 430070, China)

  • Shijie Liu

    (School of Physical Education & Training, Shanghai University of Sport, Shanghai 200438, China)

  • Lin Zhu

    (School of Physical Education, Soochow University, Suzhou, Jiangsu 205301, China)

  • Paul Dinneen Loprinzi

    (Exercise & Memory Laboratory, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, Oxford, MS 38677, USA)

  • Xin Fan

    (College of Physical Education, Hubei Normal University, Huangshi 435002, China)

Abstract

Purpose: To systematically evaluate the effects of mind-body exercises (Tai Chi, Yoga, and Health Qigong) on motor function (UPDRS, Timed-Up-and-Go, Balance), depressive symptoms, and quality of life (QoL) of Parkinson’s patients (PD). Methods: Through computer system search and manual retrieval, PubMed, Web of Science, The Cochrane Library, CNKI, Wanfang Database, and CQVIP were used. Articles were retrieved up to the published date of June 30, 2019. Following the Cochrane Collaboration System Evaluation Manual (version 5.1.0), two researchers independently evaluated the quality and bias risk of each article, including 22 evaluated articles. The Pedro quality score of 6 points or more was found for 86% (19/22) of these studies, of which 21 were randomized controlled trials with a total of 1199 subjects; and the trial intervention time ranged from 4 to 24 weeks. Interventions in the control group included no-intervention controls, placebo, waiting-lists, routine care, and non-sports controls. Meta-analysis was performed on the literature using RevMan 5.3 statistical software, and heterogeneity analysis was performed using Stata 14.0 software. Results: (1) Mind-body exercises significantly improved motor function in PD patients, including UPDRS (SMD = −0.61, p < 0.001), TUG (SMD = −1.47, p < 0.001) and balance function (SMD = 0.79, p < 0.001). (2) Mind-body exercises also had significant effects on depression (SMD = −1.61, p = 0.002) and QoL (SMD = 0.66, p < 0.001). (3) Among the indicators, UPDRS ( I 2 = 81%) and depression ( I 2 = 91%) had higher heterogeneity; according to the results of the separate combined effect sizes of TUG ( I 2 = 29%), Balance ( I 2 = 16%) and QoL ( I 2 = 35%), it shows that the heterogeneity is small; (4) After meta-regression analysis of the age limit and other possible confounding factors, further subgroup analysis showed that the reason for the heterogeneity of UPDRS motor function may be related to the sex of PD patients and severity of the disease; the outcome of depression was heterogeneous. The reason for this may be the use of specific drugs in the experiment and the duration of intervention in the trial. Conclusion: (1) Mind-body exercises were found to have significant improvements in motor function, depressive symptoms, and quality of life in patients with Parkinson’s disease, and can be used as an effective method for clinical exercise intervention in PD patients. (2) Future clinical intervention programs for PD patients need to fully consider specific factors such as gender, severity of disease, specific drug use, and intervention cycle to effectively control heterogeneity factors, so that the clinical exercise intervention program for PD patients is objective, scientific, and effective.

Suggested Citation

  • Xiaohu Jin & Lin Wang & Shijie Liu & Lin Zhu & Paul Dinneen Loprinzi & Xin Fan, 2019. "The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(1), pages 1-16, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:31-:d:299458
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    References listed on IDEAS

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    1. Liye Zou & Chaoyi Wang & Kevin Chen & Yankai Shu & Xiaoan Chen & Lin Luo & Xitang Zhao, 2017. "The Effect of Taichi Practice on Attenuating Bone Mineral Density Loss: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 14(9), pages 1-19, September.
    2. Liye Zou & Albert Yeung & Xinfeng Quan & Sean David Boyden & Huiru Wang, 2018. "A Systematic Review and Meta-Analysis of Mindfulness-Based (Baduanjin) Exercise for Alleviating Musculoskeletal Pain and Improving Sleep Quality in People with Chronic Diseases," IJERPH, MDPI, vol. 15(2), pages 1-19, January.
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    1. Zuzanna Piekorz & Agnieszka Radzimińska & Andrzej Lewandowski & Roman Ossowski, 2022. "Quality of Life in Yoga Practitioners—Research Conducted on a Population of Polish Yogis," IJERPH, MDPI, vol. 19(19), pages 1-10, September.
    2. Jianing Tian & Yujie Kang & Peifeng Liu & Hongyan Yu, 2022. "Effect of Physical Activity on Depression in Patients with Parkinson’s Disease: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(11), pages 1-16, June.

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